19-104772 Electrical
City of Federal Way Permit #:19-104772-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: SHANEBROOK
Project Address: 5207 SW 318TH CT Parcel Number: 102103 9019
Project Description: Install disconnect for A/C unit
Owner Applicant Contractor
JUDY SHANEBROOK CHRIS MAYEDAC M E ELECTRIC LLC C M E ELECTRIC LLC
5207 SW 318TH CT 30262 225TH AVE SE CMEELEL865QE(11/5/20)
FEDERAL WAY WA 98023 BLACK DIAMOND WA 98010
30262 225TH AVE SE
BLACK DIAMOND WA 98010
Additional Permit Information
Is this an Online or O.T.C.application9 Yes
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PERMIT EXPIRES Friday,2 October,2020
Permit Issued on Thursday,October 3,2019
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and e use will be in accordance with the laws, rules and regulations of the State of
ashington and the City of Federal Way.
Owner or agent. Date:___11,217_____
THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 104772 00 Address: 5207 SW 318TH CT
Project: KARL M SHANEBROOK FEDERAL WAY WA 98023-2092
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible
(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your inspector if
you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
E UFER Ground(4295) ID Ditch cover(4030) i ® Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
. ..
By Date By Date ABy Date
0 Pool Bonding(4195) ` El Temporary Power(4275) `•® Service(4235)
Approved ? Approved Approved
By Date , By Date By Date
El Feeders/Sub-panels(4045) El Rough Electrical(4225) ' ® Ceiling Cover(4020)
Approved Approved Approved
By Date 1 By Date By Date
0 Final-Electrical(4055)
Approved
By legel Date i'ltom/?
0 Rough Electrical 0 Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED ELECTRICAL
CITY OF ^.ror
Federal Way OCT 0 3 2019 PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT O L/ � 7
PERMIT NUMBER
SUITE/UNIT/SPACE#
SITE ADDRESS: 5 -2-o 1 5� L
PROJECT VALUATION ISSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
?Gl./
PROJECT NAME
(Tenant or Homeowner Last Name) )?,_ rd 1]
PROJECT DESCRIPTION 41 fib St t n✓ t t; f� IA c U-n
Detailed description of work to l
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER S V kVL.. f 00 k ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
CAM ( ) -
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
�3D-D etco 1. 0 ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
LIME- E C--`d*c (L 3 / /LI
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( ) E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT C 1„ ft S Mu_u_ e,\ (70(6 ) 7.9i --2-L1 C/
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in
the investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
41119 Cs' At SIGNATURE: _milk_ DATE i /
PRINT NAME: 6 S
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